ETHIOPIA Humanitarian Situation Report

Transcription

1 1) ETHIOPIA Humanitarian Situation Report South Sudanese refugee woman with baby at nutrition centre in Kule refugee camp, Gambella Region UNICEF Ethiopia/2014/Ayene SitRep #3 Reporting Period June - July 2015 SITUATION IN NUMBERS Highlights: Below average/failed Belg rains (the short rains from February-April) is expected to affect the food security of poor households in SNNPR, Oromia, Amhara and in pastoral areas of Afar and Somali regions (Famine Early Warning System Network, FEWSNET). Humanitarian needs in Ethiopia will also increase during the second half of the year following the poor Belg rains and delayed Kiremt rains (long rains from May-September). (FEWSNET) The revised 2015 Humanitarian Requirement Document (HRD) Government and Partners Strategic Response Plan and Humanitarian Appeal - is expected to be launched in August The admission rate for Community Management of Acute Malnutrition (CMAM) of children with severe acute malnutrition (SAM) in May (26,045) is 10 per cent higher than April. As of August 8, 2015, the number of South Sudanese refugees in the country that have arrived since the conflict in December 2013 reached 215,358. This includes 19,581 unaccompanied and separated children. 264,515 children will require treatment for acute severe malnutrition in 2015 (HRD 2015) 111,076 children were treated for severe acute malnutrition by May ,358 South Sudanese refugees arrived in Ethiopia since 15 December 2013 (UNHCR August 8, 2015)- UNICEF humanitarian appeal 2015 US$49 million only 17 per cent is funded UNICEF s Key Response with Partners See Annex 1 for further details Indicators WASH: People in humanitarian situations accessing water for drinking and cooking purposes Nutrition: # children 6-59 months with SAM admitted to therapeutic care Health: # of children and women accessing essential health services Education: # of schoolaged children accessing formal and non-formal education Child Protection: # of children reached with critical child protection services UNICEF & Partners UNICEF Target Cumulative results (#) Cluster Target Sector/Cluster 1 Cumulative results (#) 850, ,208 1,244, , , , , , ,000 99,394 N/A N/A 120,000 14, ,118 16,100 50,000 87,275 N/A N/A UNICEF Funding Level HAC 2015 US$49 million 20,000,000 18,000,000 16,000,000 14,000,000 12,000,000 10,000,000 8,000,000 6,000,000 4,000,000 2,000,000 0 Requirements US$ Funds Received in 2015 US$

2 1. Situation Overview and Humanitarian Needs 1.1 Belg/Gu/Ganna/Sugum assessments The Disaster Risk Management and Food Security Sector (DRMFSS) led Belg/Gu/Ganna/Sugum field assessments are completed in early July in Afar, Amhara, Oromia, Tigray, Somali regions as well as Southern Nations, Nationalities and Peoples regions (SNNPR). The assessment results will be the basis to review the 2015 Humanitarian Requirement Document (HRD) - Government and Partners Strategic Response Plan and Humanitarian Appeal. The document is expected to be released on August 18, 2015 by the Ethiopian Government. As per the National Meteorology Agency (NMA), central and north-eastern Ethiopia experienced a very poor first season (Belg, February-April) of rainfall in During the first two months of Kiremt (long duration rains followed by Meher harvest) 2015, the aggregated performance of the seasonal rain has shown a significant decrease as compared to the normal amount. The reason for the decrease can be attributed to the prevailing El- Niño episode and the weakened moisture incursion from the Indian Ocean. El Niño is the warm ocean current that develops between northern Peru and Indonesia. The El- Niño weather pattern in 2015 is considered by analysts to be the strongest El- Niño of the last 20 years reflecting a particularly challenging period ahead. The confirmation of El- Niño weather conditions threatens to affect the harvest after upcoming main rains (Meher harvest following Kiremt rains) which provide for 80 per cent of agricultural production in Ethiopia 1. As per FEWSNET/WFP an average Meher harvest is expected from October to January in south western parts of the country. However, according to FEWSNET, Meher production is expected to be below average in most north western, southern, and eastern parts of the country Food-security Situation: In most of Afar region and Sitti (formerly Shinile) zone in northern Somali region, the Belg rains were far below average. With little pasture regeneration or refilling of water points, most areas remained in the dry season. Accordingly, livestock body conditions have deteriorated, and livestock production and productivity have declined. Unseasonal livestock migration has occurred, reducing milk access for most household members. A large number of livestock deaths has been reported from Sitti zone of Somali region and southern Afar region (FEWSNET/WFP). Livestock body condition and productivity also remain low in the lowlands of central and eastern Oromia. In most of Afar region and Jijiga and Sitti zones of Somali region, pasture and water for livestock has been difficult to find. The FEWSNET/WFP 3 report states that staple food prices are expected to increase from July to September due to seasonal rising demand and tight supply. In particular, in Belg-producing areas in SNNPR, north-eastern Amhara, southern Tigray, central and eastern Oromia regions, prices are expected to be unusually high through September due to delay of the Belg harvest and its likelihood of being well below average. Emergency Nutrition Coordination Unit (ENCU) revised the number of priority one woredas (criteria s based on food security, malnutrition and other compounding factors; woreda is like a district) from 49 to 97 in May. The next reclassification is scheduled to take place in August. 1.3 Refugees and Returnees Update: Refugee World Day was celebrated on 20 June. The theme for this year s celebration is Refugees are people like you and me, highlighting that refugees are ordinary people that are forced to flee as a result of man-made or natural disasters. Ethiopia is number one refugee hosting country in Africa with over 700,000 refugees hosted mainly in Somali, Gambella and Tigray regions of the country 4. With the ongoing hostilities and deterioration of food security in South Sudan, there is a continued arrival of refugees in Gambella region of western Ethiopia. As of August 8, 2015 Gambella is hosting 272,712 refugees, out of which 215,358 are South Sudanese refugees who have arrived since the conflict in December Most of (97 per cent) of the refugees are Nuer - a clan based in both Ethiopia and South Sudan. According to UNHCR report, among the new arrivals, 45,854 (17 per cent) refugees are living within the host community, 216,331 (79 per cent) are living in the refugee camps and 10,527 (4 per cent) [3,939 at Pagak, 6,492 Matar and 96 at Burbiey] are waiting relocation at Pagak and Matar transits and Burbiey entry point. Of the total arrivals, 90 per cent of the population are women and children. 66 per cent of the population are only children, and out of the adult population 69 per cent are women. Of the total population, 19,486 are identified as unaccompanied /separated children

3 that need special protection assistance. Based on the data from UNHCR, the camp in Pugnido hosts 62,751 people; Tierkidi hosts 52,222 people; Kule hosts 47,444; Jewi hosts 46,139 and Okugo hosts 7,775 people. The remaining 45,854 refugees are living with host communities. These include the influx of people before December In order to increase the capacity to accommodate the ongoing refugees influx, a sixth camp is being established near the existing Pugnido camp. Meanwhile, the asylum seekers at the entry points are living in poor conditions, where social services are limited. UNHCR, Administration of Refugees and Returnees Affair (ARRA) and the humanitarian partners in Gambella undertook the contingency planning process to review the number of refugees expected to arrive to Ethiopia until the end of UNHCR, UNICEF, ARRA and its partners estimate that an additional 50,000 new arrivals may arrive in Gambella by the end of Conflict related insecurity and/or forced deportation have led many Ethiopian migrants returning back to the country in 2014 and According to the IOM data (June 2015) there were 3,177 assisted voluntary returnees from Yemen. 1.4 Nutrition Update: One of the important monitoring mechanisms of the nutrition situation in the country is the admission of children into the Community Management of Acute Malnutrition (CMAM) programme, through information collected and analysed by the regional and federal ENCU. Nationally, the number of children with Severe Acute Malnutrition (SAM) admitted into therapeutic feeding programme in June is 29,722 - an increase of 5 per cent over the May admission (data from Ministry of Health). CMAM programme indicates that about 144,072 children have been admitted for treatment between January and June. As per figure 1, the number of admissions are increasing every month. Figure 1- National admission trend for SAM ( ); Source ENCU Out of the total CMAM admission, 47 per cent are from Oromia and the other 37 per cent are from SNNP region. The increase in admissions is attributed to the failure of the Belg rains that has greatly contributed to the deterioration of the food security in these regions. The Out-patient Therapeutic Programme (OTP) in ten woredas out of 97 nutrition hotspot-one woredas are managed by the Regional Health Bureau (RHB) - the majority of which are located in Afar and Somali regions. From January to June 2015, a total of 346,244 individuals (183,010 from January to March and 164,234 from April to June 2015) benefited from the therapeutic supplementary feeding programme (TSFP), and among them 179,451 (51.8 per cent) are under 5 children and 166,793 (48.1 per cent) are pregnant and lactating women (PLW). SNNPR Trends in Severe Acute Malnutrition Admissions ( ) Oromia Trends in Severe Acute Malnutrition Admissions ( ) 17,500 15,000 12,500 10,000 7,500 5,000 2, Figure 2- Admission trends for SNNPR and Oromia regions ( ); Source ENCU Based on the trend shown in figure 2, both SNNP and Oromia regions have high trend of admission; the most affected zones from Oromia region are Arsi, Bale, Borana, East Hararghe, West Harargeh, West Arsi zones while from SNNPR 3

4 are, Hawassa Zuria, Gedeo, Gurage, Hadiya, Kembata Tembaro, Segen Hizboch, Sidama, Silte and Halaba Special woreda are the most affected Amhara Trends in Severe Acute Malnutrition Admissions ( ) Figure 3-Admission trends for Amhara and Somali regions ( ); Source ENCU Based on figure 3, both Amhara and Somali regions are affected by the poor Belg rains, but the number of admissions of SAM children are not very high as compared to the previous years. The Amhara RHB is concerned that some woredas/districts in Amhara could have high levels of SAM cases. In Amhara, North and South Gondar, North and South Wello and Wag Himra are the most affected woredas. Similarly, authorities are concerned that reporting of cases to nutrition centre is very low in Somali region; authorities expect a high rate of malnutrition due to failed rains, poor pasture and no planted crops. Nutrition Surveys GOAL and ACF completed two surveys in Gambella (Jikawo woreda) and Hareri (Hundene) woreda in July The nutrition situation is classified as serious in Jikawo woreda of Gambella region with global acute malnutrition (GAM) of 11.7 per cent and severe acute malnutrition (SAM) of 2 per cent. The situation is normal in Hundene woreda. Eighteen bi-annual nutrition surveys (supported by UNICEF and funded by DFID) were conducted in 18 woredas of five regions (Afar, Amhara, Oromia, SNNP and Tigray) - summary provided in annex C. According to the survey results 5, the nutrition situation was reported to be normal in four of the woredas while it was serious and poor in nine and four of the woredas, respectively. Only one woreda in Afar region was reported to have critical situation. Surveys were conducted in three woredas of Tigray (Raya Azebo, T/S/emba and Tangua Abergele); in three woredas of Afar (Hadelela, Abaala, Adaar), in four woredas of Amhara (Sekota Zuria, Dessie Zuria, Gubalalfto, East Belesa), in four woredas of Oromia (Meiso, Midaga Tolla, Miyo, Siraro) and in four woredas of SNNPR (Bona Zuria, Halaba Special, Wenago and Konso). Additional three surveys are going on in the Somali region for which results are expected in early September. 1.5 Health Update: Acute cases of Febrile Illness (AFI) are increasingly being reported as of June 20 in Gode town (Somali region), and so far it has been confined to Gode town. Till July 13, a total of 223 cases (116 Female, 107 Male) were reported of which 154 (69 per cent) are between years and 13 (5.8 per cent) are under five children. All the ten kebeles (equivalent to sub-district) of Gode town are affected, although kebele 01 (60 cases) and kebele 02 (59 cases) are contributing majority of the cases. As far as investigation is concerned, 11 samples were collected and sent for investigation from which eight were reported to be confirmed for Dengue fever. Measles cases continue to be reported in various parts of the country. In 2015 a total of 6,732 confirmed measles outbreak was reported from different parts of the country. 5 According to Ethiopian national guidelines the situation is termed as critical when GAM rates exceed 20 percent and SAM rate more than 5 percent; it is termed serious when GAM rates are between percent and poor for GAM rates percent. GAM prevalence of 2-9 percent represent a malnourished population. 4

5 1.6 WASH Update: Many water supply systems are non-functional due to failed Belg rains and in need of repairs as mentioned in the situation reports from different regions by UNICEF staff, partners and government officials. The rainfall in parts of Oromia, Afar, Somali, SNNP and Amhara regions is not sufficient and this might affect future water availability. UNICEF's WASH Section along with partners is assessing the situation and doing immediate relief operations. WASH cluster is actively sourcing new funds through Humanitarian Response Fund (HRF) and other donors to respond to the emerging situation. In Somali region, according to the recent Belg/Gu assessment final report, an estimated population of 95,165 in Sitti zone require urgent emergency water provision starting from July 2015; if the upcoming Kiremt rains are delayed, more areas will need emergency water supply. In SNNPR, the intensity and coverage is not adequate and communities in some woredas are travelling long distances or using contaminated water from ponds/rivers. The Regional Water Bureau (RWB) has deployed one EmWat kit 6 through UNICEF s support in Humbo woreda of Wolayita zone and has further requested for treatment chemicals. Water shortages still remain as a major concern in East and West Hararghe of Oromia region, an assessment is being conducted to understand the extent of the situation. Afar region is in its peak dry season; water sources are depleted and are leaving communities without access to potable water. The Afar Disaster Prevention and Preparedness Food Security Coordination Office (DPPFSCO) deployed 12 water trucks, leaving a gap of 19 trucks for providing water to the affected communities. The shortage of Belg and late starting of Kiremt rains has resulted in the drought situation affecting 182,382 people and livestock. The regional government contributed 10 million Ethiopian Birr (US$500,000) for emergency water trucking. UNICEF also provided US$12,000 for the same cause to benefit 6,000 people for next 15 days. Drought conditions continue to affect parts of East and West Hararghe zones of Oromia region, especially in Mieso woreda and in 14 woredas of SNNPR where recent rains were not enough to refill surface water sources. In SNNPR, water trucks are supporting more than 20,000 people and over 9,000 livestock in Mareko woreda of Gurage zone. Some 95,100 people in 44 kebeles of Sitti zone (Somali region) require immediate water trucking support; 186 out of the 817 kebeles in the region are at high risk of water shortage. Humanitarian Leadership and Coordination Together with the Government of Ethiopia, UNICEF continues to provide cluster leadership for WASH, nutrition and education sectors. UNICEF and its partners continue to support the emergency response to South Sudanese refugees and vulnerable host communities with the provision of health care, nutrition, water, sanitation, education, hygiene promotion and child protection services. Under the One WASH National Programme, the cluster agreed to develop a six-month disaster risk management strategy and strengthen the Regional Water Bureau and the water supply system maintenance teams. The aim is to ensure that the chronically drought affected areas are also targeted by longer term programmes to alleviate the problem. Humanitarian Strategy: Prepositioning and Partnerships In the refugee context, UNICEF supports UNHCR and Administration of Refugees and Returnees Affairs (ARRA). The partnership is based on the Memorandum of Understanding signed in 2012 between the two sister agencies and the tripartite agreement signed in 2007, with ARRA and UNHCR to establish a framework of collaboration for the delivery of services and assistance. Since 2014, UNICEF has developed an integrated emergency response strategy for both refugees and host communities in Gambella region. The three-pronged strategy includes support to UNHCR in the sectoral coordination, technical assistance and provision of basic social services in the refugee camps; support to the host community at the entry points and in the proximity of the refugee camps; and also provide support to the host communities in those areas where the refugees are not located but the social services are very poor. The host communities based in the entry 6 EmWat kit is an emergency water supply kit which works on the principles of aided sedimentation, filtration and disinfection before distribution through a tap stand connected to a raised storage tank. One kit can provide clean water up to 2,000 people per day. 5

6 points and near the refugee camps are also in need of resources and services that is being provided to the refugees, so UNICEF and its partners are also rendering services to the nearby host communities. The zones where the refugees are located are getting better services and more funds for development as compared to other zones. As this might brew conflict, UNICEF is working with the local government in those areas to reduce future conflicts. UNICEF has been working closely with IOM on the issue of returnee children from the third world countries and it has been providing support to the protection of unaccompanied minors and separated children. This has been facilitated through a Letter of Agreement signed between the two agencies in This partnership supports the Government of Ethiopia s Safe Return and Reunification Programme which is led by the Ministry of Women, Children and Youth Affairs (MoWCYA). The programme is further supported and implemented by regional governmental bureaus and woreda offices. To respond to any immediate crisis in a timely manner, UNICEF has prepositioned stocks in Addis Ababa and at three regional hubs for rapid deployment to address the needs of 125,000 people. These supplies are currently being used to provide immediate assistance to affected populations based on the requests from the regional governments. UNICEF has established Long Term Agreements (LTA) with suppliers of most important emergency supplies, which enables urgent delivery when needed, including for drilling of shallow boreholes. Summary Analysis of Programme Response 3.1 South Sudanese Refugees Emergency Response: UNICEF continues to support UNHCR/ARRA to provide health, nutrition, WASH, education and child protection services to refugees within the refugee camps and at the border crossing points. In addition, UNICEF also supports the Government to provide sufficient access to basic social services within the host community. Health: UNICEF continues to closely work with UNHCR, RHB and with other agencies to support the coordination, capacity building and preparedness measures for public health emergencies for the refugees and host populations. The RHB and health partners, including UNICEF and WHO, developed a contingency plan to be able to respond to a possible acute watery diarrhoea outbreak in view of the continuing cholera outbreak in South Sudan. The contingency plan consists of preparing cholera treatment centres, kits, pre-positing health supplies and provision of technical support to respond within 72 hours. The RHB teams supported by UNICEF have been conducting vaccination for all newly arriving refugee children in Pagak, Burubiey and Akobo entry points since the beginning of the influx of the refugees. Between January and the first week of August 2015, 17,682 children (0-15 years old) have been vaccinated against polio, and 16,255 (6 month 15 years old) were vaccinated against measles. In addition, 7,886 children (6 months five years) received vitamin A, and 4,488 children (1-5 years old) received deworming tablets. Two emergency drug kits are also placed in the Matar Health Post to respond to the health needs of refugees at the entry point. Each drug kit is expected to benefit 2,500 people for three months. Three UNICEF consultants are providing technical support to the RHB to provide entry point vaccination to the refugees. In the refugee camps, in addition to provision of medical supplies whenever there is shortage, UNICEF supports the provision of routine immunization for children and the control of malaria infection. In 2015, UNICEF provided 21,878 long lasting impregnated bed nets in all refugee camps. This benefits 43,756 refugee families with a distribution of two bed nets per family. Between January and July, 2015, 995 children (12 per cent of targeted children less than one year old) were fully immunized through routine immunisation campaign. In the host community, UNICEF has been supporting the RHB and other implementing partners with the expansion of integrated Community Case Management (iccm) of childhood illness from 3 to 12 emergency prone woredas of the region through provision of supplies, capacity building, and technical support and coordination to improve the health status of the population. The renovation of five health facilities in Gambella Region with the support of UNICEF in Abobo, Wanthuwa, Makuye, and Itang special woredas is completed. UNICEF has also provided support to Eritrean refugees in Shire zone of Tigray region by establishing immunization programmes at reception centres and new refugee camps as well as through provision of three solar refrigerators, 25 cold boxes and 100 vaccine careers. This intervention is expected to benefit 800-1,000 children (under one year) with routine immunisation and about 20,000 children (under 14 years) with vaccination. 6

7 Nutrition: UNICEF nutrition team has been responding to the nutrition emergency in the host community, refugee entry points and refugee camps by providing funds, supplies and technical assistance as well as building capacity and establishing coordination mechanism at all levels. The nutrition intervention in the refugee camp focuses on the establishment and operation of CMAM and Infant and Young Child Feeding (IYCF) programme. UNICEF, through its seconded nutrition specialist, is providing leadership to the response. In all the refugee camps, the indicators for the quality of the CMAM programme are within the sphere standard except in Pugnido refugee camp as implementing partners are advised to align their protocol to that of UNHCR. Since the beginning of the year, UNICEF partners have also provided information on IYCF to 21,170 pregnant and lactating women in the refugee camps. In the host community, UNICEF has deployed four nutrition consultants to support the response with special emphasis on CMAM and IYCF. These consultants are technically supporting 14 woredas of which four are particularly affected by the influx of the South Sudanese refugees. From the target of reaching 124 health facilities with CMAM service by the end of 2015, 116 health facilities have currently been covered in these 14 woredas. The CMAM programme includes outpatient therapeutic programme for children with severe acute malnutrition and stabilization centres for children with severe acute malnutrition with some health complications. From January to July 2015, 903 children with severe acute malnutrition were admitted into the different nutrition programmes and were treated. The nutrition consultants continue to provide on-the-job training; between January and July, the consultants conducted such training to 191 health workers and 139 health extension workers working in the outpatient and inpatient nutrition programmes. As a result, the average cure rate increased from 57 per cent (July to December 2014) to 69 per cent (January to June 2015) and defaulter rate was reduced from 23 per cent to 11 per cent during the same period. UNICEF consultants also support the woredas to establish mother-to-mother support groups that serve as platform to transfer messages on maternal nutrition and infant feeding. More than 203 support groups (10 to 15 mothers per group) were established in these 14 woredas where CMAM programme is ongoing. These groups contribute in creating better nutrition awareness amongst children, pregnant women, lactating mothers and adolescent girls. WASH: UNICEF continues playing an active role in monitoring and providing emergency and sustainable WASH support to refugees and host communities at entry points and in and around camps. As of July 2015, WASH indicators across the refugee camps of Pugnido, Okugo, Kule and Tierkidi have maintained Sphere minimum standards with the exception of Jewi refugee camp. With the support of UNICEF, one emergency water treatment kit has been established at Jewi refugee camp, supplying 10,000 litres of clean water per day to more than 660 refugees with 15 litres per person. Although hampered by continuous rain and multiple challenges linked to the procurement of key supplies, the construction and installation of Kule, Tierkidi and Itang permanent water system is in a low but steady progress. UNICEF has provided emergency water treatment kits at the entry points in Akobo as well as installed shallow wells and motorised shallow wells in Burbiey and Pagak, respectively. Information, education and communication materials are also distributed at these entry points to improve hygiene and sanitation. In July, UNICEF provided six bags of aluminium sulphate and two drums of calcium hypochlorite (HTH) for water purification at Akobo entry point. 500 brochures and posters were sent to Akobo entry point to support ZOA in terms of better sanitation and improved hygiene. As part of the conflict sensitive programming, UNICEF is supporting the construction of ten shallow wells in guinea worm areas of Gog and Abobo woredas. Out of the five completed, four wells are currently productive and benefiting 1,200 people with access to clean water. Education: UNICEF continues to closely work with UNHCR, Regional Education Bureau (REB) and partners in providing guidance, building new schools, rehabilitating old ones, providing education materials and building capacity so that refugee and host community children have access to quality education. 7

8 The gross enrolment rate for school aged children from 3 to 18 years is 43 per cent, while that of the early childhood, care and development (ECCD) for children aged 3 to 6 years remain low at 26 per cent. This reflects less number of children are coming to ECCD centres in the refugee camps as compared to primary schools. Preliminary finding from joint assessment show that lack of common approach to ECCD and lack of understanding of the difference between ECCD and child friendly space (CSF) may be some of the reasons for the low enrolment. There is also a greater need to emphasize on the need and benefits of ECCD. A joint assessment was conducted in July 2015, in Tierkidi and Kule refugee camps on early childhood, care and education, primary education and alternative basic education. All education actors including ARRA, UNHCR, UNICEF, SCI, NRC, Plan International and World Vision participated in the needs assessment. The main objective of the assessment is to establish the situation of education in the two camps, share lessons learnt and support decision making for the next academic year. Data collected include that of facilities in the schools, access to education, quality of education (teachers qualification), and challenges encountered during the year. Report of the assessment will be available during end of August. The construction of schools by UNICEF and partners is in progress in Tierkidi (primary school) and in Kule (one primary and one ECCD). In the host communities, UNICEF in coordination with the REB is preparing education materials including desks and tables to be provided to newly constructed schools (Watgach, Akobo, Pagak, War and Akula). UNICEF is supporting the construction of seven schools in the host community and at entry points. While two schools are completed, the remaining are 40 to 80 per cent completed. It is expected that these schools will benefit an estimated 2,800 children in the host community. Child Protection: UNICEF has been supporting the child protection programme in Gambella region (in host community as well as in refugee camps) through the establishment of CSF, child friendly desks and child protection committees. In addition, UNICEF has provided partners a wide range of supplies as well as offered technical and psychosocial support to facilitate referral of services and ensure appropriate care to unaccompanied and separated children. In refugee camps, CSF remain a place where children enrol in different activities that aim to ensure their physical and psychological well-being. To date, 86,472 children have benefitted from 10 CFS established in refugee camps and more than 10,000 children have received psycho-social support. In addition, a total of 10 child protection committees have been established in refugee camps and members have been trained in identification and referral of child protection issues. As a result, more than 1,000 children have been referred through the committees for provision of services. Furthermore, 1,000 children and adolescents are participating in child-led rights clubs-sensitizing other peers in prevention of abuse and exploitation of children. UNICEF in close cooperation with government partners continues providing support to host communities to cope with the high influx of displaced populations. In this regard, nine CFS and four child desks have been established in different host communities wherein more than 12,000 children are benefiting from integrated protection services and referrals. UNICEF continues supporting the roll out of the Child Protection Information Management System (CPIMS) through provision of technical support and on the job training. The CPIMS facilitates case management and data analysis of children with specific vulnerabilities. To date, 15,000 unaccompanied and separated children are registered in CPIMS out of which 1,000 have been reintegrated with their families. Furthermore, new customized forms have been introduced in the CPIMS to include children in foster care and other vulnerable children at risk of violence and separation. At the entry points of Pagak, Burubiey and Matar, UNICEF is supporting the registration of unaccompanied minors and separated children and the identification of children with special protection needs. At the entry points, 1,134 unaccompanied and separated children were registered as of end of July. 3.2 Emergency Response in Ethiopia Nutrition UNICEF's Nutrition Section has been working closely with the Emergency Nutrition Coordination Unit (ENCU) and Disaster Risk Management and Food Security Sector (DRMFSS) in revising the humanitarian requirement for the country through the end of This revision is based on the assessment conducted in different regions as well as 8

9 the result of the bi-annual nutrition surveys, for which UNICEF provided technical and logistic support. The revised HRD will provide guidance to donors as well as humanitarian actors in responding to the needs. UNICEF provided the required CMAM supplies to all regions on quarterly basis. Accordingly 72,115 bottles of amoxicillin syrup, 1,236 cartoons of F-100, 1,286 cartoons of F-75 and 72,880 cartons of ready-to-use therapeutic feeding (RUTF) were transported to the respective RHBs. These supplies will enable the treatment of 72,115 children. With the currently deteriorating food security situation, an increased need for these supplies is expected. Likewise, the funding requirements are expected to increase as a far the revision of HRD UNICEF is facing critical funding limitations to support nutrition partners so as to expand life-saving programmes in all the nutrition hot spot woredas particularly in Afar and Somali regions where most of the un-met needs are identified. Health A large measles outbreak is reported in the country with over 6,732 confirmed cases the largest outbreak since The Government is fundraising for a campaign to vaccinate all the children under the age of 15 against measles with a cost of US$37.8 million. GAVI as part of its 2012 commitment to support the reduction of measles mortality and contribution to high burden control efforts until 2017, approved contribution of US$13 million to cover the under-five population. The Federal Ministry of Health has assured US$1 million from its own treasury, leaving a funding gap of US$23.2 million. UNICEF is supporting 30 Mobile Health and Nutrition Teams (MHNT) in Somali (24 RHB and 1 INGOs team) and Afar (5 teams) regions to provide access to health care services in the remote areas of these two regions. Each team is comprised of six staff from the RHB and includes two health workers (clinical and /or midwife nurse), two health extension workers, one social mobilizer and one driver. The MHNTs provide medical consultations, nutritional screening and promote safe motherhood (screening of pregnant and lactating women), health education and sanitation, hygiene promotion and emergency water treatment. UNICEF supplies these teams with essential drug kits and nutrition supplies. As of June 2015, these teams in both regions provided consultations to 99,394 people (60 per cent reporting rate) including children and women. With current drought in Afar and Somali regions the regional authorities are relocating the teams to the nutrition hot-spot priority woredas to provide lifesaving interventions. WASH UNICEF continues to lead and support the Ministry of Water Irrigation and Energy to ensure timely response to water shortages in emergency affected areas. Although seasonal rains have been received in most parts of the country, pocket areas continue to depend on emergency assistance. In Oromia, water trucking response is operational in two woredas (Meyu and Kumbi) of East Hararghe. Out of the ten trucks required, two trucks are deployed in the above mentioned woredas. Similarly, in SNNPR, water trucking is ongoing in seven kebeles of Mareko woreda for more than 20,000 population and 9,600 livestock with the support of zonal water and the Regional Water Bureau. Save the Children International (SCI) has deployed two water trucks to critically affected communities in Sitti zone of Somali region. SCI has emphasized on the need to continue the lifesaving water trucking interventions in parallel with the medium and long term solution in those locations. Child Protection UNICEF has been providing assistance for children returning from third world countries in cooperation with IOM, the Ministry of Women, Children and Youth Affairs (MoWCYA) and its regional counterparts. Since June 2014, various forms of assistance (psycho social support, transit arrangement, family tracing and reunification and provision of supplies) have been provided to a total of 803 (759 boys and 44 girls) returning migrant children. Funding UNICEF Ethiopia is appealing for US$ million for its humanitarian activities in Ethiopia including response to the Sudanese refugees in Gambella (US$ million) and Eritrean refugees in Shire, Tigray region (US$9.886 million). UNICEF Ethiopia appreciates the generous contribution in 2015 of US$393,391 from the Government of Canada, 9

10 US$4,776,123 from the Government of UK, US$ 497,238 from Italian Development Cooperation and US$1 million from the Humanitarian Response Fund. However, key funding needs remain in a number of sectors in the country. The funding shortfall for UNICEF led clusters are US$9.25 million for nutrition cluster, US$17.7 million for WASH and US$1.38 million for education respectively. Table updated on 13 August: Appeal Sector Revised Funding Requirements 2015 Requirements Funds Received in 2015 Funding gap US$ US$ US$ per cent Nutrition 10,090,800 2,758,692 7,332,108 73% Health 9,137, ,292 8,222,708 90% WASH 17,817,500 1,692,266 16,125,234 91% Child Protection 3,428, ,933 2,737,367 80% Education 6,058,300 2,112,213 3,946,087 65% Cluster coordination 2,554, ,554, % Total 49,086,452 8,168,396 40,918, *UNICEF Ethiopia has US$ 11.4 million carried over fund from Next SitRep: October 2015 Who to contact for further information: Gillian Mellsop Alhaji Bah Alexandra Westerbeek Representative Chief-Field Operations Chief, Media and External and Emergency Relations UNICEF Ethiopia UNICEF Ethiopia UNICEF Ethiopia Tel: Tel: Tel: Fax: Fax: Fax: gmellsop@unicef.org abah@unicef.org awesterbeek@unicef.org 10

11 Annex A SUMMARY OF PROGRAMME RESULTS: ETHIOPIA July 2015 NUTRITION Children under 5 with severe acute malnutrition treated Children under 5 in humanitarian situations screened and referred to supplementary feeding programmes Pregnant and breastfeeding women in humanitarian situations screened and referred to supplementary feeding programmes HEALTH Children and women accessing essential health services through preventive and curative interventions in the Somali and Afar regions Populations affected by disease outbreaks access lifesaving curative and preventive interventions WATER, SANITATION & HYGIENE People in humanitarian situations accessing water for drinking, cooking and personal hygiene People in humanitarian situations receiving sanitation and hygiene information to prevent child illnesses CHILD PROTECTION Children in humanitarian situations vulnerable to violence, exploitation and abuse accessing appropriate care and services Identified, separated and unaccompanied children reunited with their families/caregivers or provided with an appropriate alternative care EDUCATION Children in humanitarian situations access temporary learning spaces and basic education materials Health Nutrition WASH Education Child Protection Note Overall needs 2015* Target Cluster Response Total Results 264, , ,872 Change since last report 51, Target 264,515 UNICEF and IPs Total Results Change since last report 111,872 51,262 1,757,029 1,757, ,203, , , , , ,394* - 1,244,100 1,244, ,340 25,000 1,000, , , ,000-46,616-1,140,000-46, ,000 5, , ,118 16, ,000 OPERATIONAL PARTNERS 25, ,100 - Regional Health Bureaus, Mercy Corps, SCI, ADRA, Ogaden Welfare and Development Association, Islamic Relief, MSF *Only 60 per cent of the reports have been received Ministry of Health, Regional Health Bureaus Federal and Regional, Emergency Nutrition Coordination Unit (under DRMFSS), Concern Worldwide, International Medical Corps, World Vision, Action Against Hunger (ACF), Islamic Relief, Mercy Corps, SCI, MSF, ADRA, GOAL Ethiopia and Plan International Ethiopia Federal and Regional Mines and Water Bureaus, Oxfam Intermon, Adhorn, Ogaden Welfare and Development Association, SCI Federal and Regional Education Bureaus, SCI, PIE, Ogaden Welfare and Development Association Regional Bureau of Labor and Social Affairs, Regional Bureau of Women, Children and Youth Affairs, SCI, Plan International Ethiopia, the Ethiopian Red Cross Society, GOAL Ethiopia 11

12 Annex B SUMMARY OF PROGRAMME RESULTS: RESPONSE TO SOUTH SUDANESE REFUGEES Planning figure: 340,000 refugees by the end of 2015 July 2015 Locations Entry points and host community Refugee camps Entry points and host community Refugee camps Entry points and host community Refugee camps Entry points Refugee camps Host community Entry points & host community Refugee camps Health Nutrition WASH Education Child Protection Notes: NUTRITION Sectors Target UNICEF and Partners Total Results per cent Results Achieved Number of refugee children( 6-59 months) supplemented with Vitamin A 33, ^ Number of children 6-59 months with SAM admitted to therapeutic care programme 10, Number of children 6-59 months with SAM admitted to therapeutic care programme ^^ Number of mothers receiving IYCF counselling and support ^^^ 54 HEALTH Number of children vaccinated for measles (6 months-15 years)-95per cent 55,000 coverage 16,255******* Number of families receiving 2 ITNs (1 bed net for 2 household members) 55,000 49,878******** Number of population with access to health care facilities stocked with emergency supplies and drugs 110,000 Number of refugee children, fully covered through routine EPI (0-1 year) in the camps 6, ********* WATER, SANITATION & HYGIENE Number of affected people provided with sufficient water of adequate quality 14, * Number of people reached with critical WASH related information 20, ***** 37.5 Number of affected people provided with sufficient water of adequate quality 220, * 0.29 Number of people with access to appropriately designed toilets 50, ****** Number of people reached with critical WASH related information 330, ***** 1.97 CHILD PROTECTION Number of children accessing child friendly spaces 20, Number of identified vulnerable children receiving cases management, relevant support and referral services 1, Number of children accessing child friendly spaces 60, ,626** Number of children receiving age and gender appropriated psychosocial support and services 3, ** 52.5 Number of children participating in child rights clubs/committees and other child/youth led activities 4, Number of community members engaged in awareness raising activities on child protection 10, EDUCATION School aged children affected by refugee influx continue their education 20,000 11,359*** Children affected by emergencies continue their education 75,000 50,223**** PARTNERS UNHCR, ARRA, RHB, MSF, UNHCR, GOAL, MSF, ACF, CONCERN UNHCR, MSF, ZOA, ERCS, DRC, NRC, ADRA, LWF, IRC, World Vision, ACF UNHCR, ARRA, REB, SCI, ZOA, PIE, NRC, DRC, WV, DICAC UNHCR, SCI, ZOA 57per cent 66.96per cent

13 Annex C SUMMARY OF BI ANNUAL NUTRITION SURVEY IN FIVE REGIONS JUNE-JULY 2015 Region Zone Woreda GAM (95 per cent CI) SAM (95 per cent CI) CMR/10000 persons/day Stage of Alert Tigray Eastern S/Te/Emba 8.1 ( ) 0.9 ( ) 0.03 ( ) Normal Tigray Central T/Abergele 10.2 ( ) 0.9 ( ) 0.03 ( ) Poor Tigray Southern Raya Azebo 4.7 ( ) 0.0 ( ) 0.09 ( ) Normal Afar Zone 1 Adaar Afar Zone 5 Hadeleala Afar Zone Abaala Amhara N/Wello Gubalafto 15.0 ( ) 12.4 ( ) 12.3 ( ) 11.3 ( ) 1.8 ( ) 1.2 ( ) 0.7 ( ) 0.8 ( ) 0.04 ( ) Critical 0.00 ( ) Serious 0.03 ( ) Serious 0.07 ( ) Serious Amhara W/Hamera Sekota Zuria 12.9 ( ) ( ( ) Serious 0.0 Amhara S/Wello DessieZuria Amhara W/Gondar East Belesa Oromia Borena Miyo West Oromia Hararghe Mieso East Oromia Hararghe Midhaga Tolla Oromia W/Arsi Siraro ( ) 11.4 ( ) 6.5 ( ) 14.3 ( ) 10.1 ( ) 4.7 ( ) ( ) 0.3 ( ) 0.2 ( ) 1.2 ( ) 1.7 ( ) 0.5 ( ) ( ) Serious 0.10 ( ) Poor 0.00 ( ) Normal ) Serious 0.06 ( Serious 0.21 ( ) Normal SNNPR SNNPR Segen people Halaba special Konso Halaba SNNPR Sidama Bona zuria SNNPR Gedeo Wenago 8.9 ( ) 7.6 ( ) 13.9 ( ) 12.4 ( ) 1.1 ( ) 1.3 ( ) 2.6 ( ) 1.4 ( ) 0.26 ( ) Poor 0.22 ( ) Poor 0.35 ( ) Serious 0.26 ( ) Serious 13